Individual
COLLEEN LEWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
762 HAZEL DR, ELKVIEW, WV 25071-7733
(304) 747-0271
Mailing address
762 HAZEL DR, ELKVIEW, WV 25071-7733
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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